Supervisor Complex Claims

Change Healthcare

(Atlanta, Georgia)
Full Time
Job Posting Details
About Change Healthcare
We are a leading provider of software and analytics, network solutions and technology-enabled services that optimize communications, payments and analytics by leveraging our Intelligent Healthcare NetworkTM – the single largest financial and administrative network in the United States healthcare system.
Summary
The Complex Claims Supervisor will be responsible for the day-to-day leadership of the Complex Claims Specialists. The position will lead a team responsible for the claims’ resolution portion of Change Healthcare’s Complex Claims Solution for Motor Vehicle Accidents (MVA), Workers’ Compensation, and other liability accounts. As a company leader, this position will be responsible for coaching, developing and helping team members to be successful in driving industry leading performance to our customers.
Responsibilities
* Meet weekly with each individual Complex Claims Specialist to discuss praise for quality work, areas where improvements are needed, and performance goals/metrics * Monitor team members’ daily productivity goals and provide feedback where necessary * Manage requests for time off based on department policy to ensure customer business needs are met * Foster a positive team environment by leading daily team huddles to discuss team goals and performance from prior day * Update and monitor KPI whiteboards for daily visibility of team’s performance * Onboard and mentor new team members for system setup and getting acclimated to their new team * Interview potential Complex Claims Specialist candidates for open positions in the department * Manage team and individual daily workloads to drive excellent revenue performance for CEA’s customers through strong ownership of customers’ Key Performance Indicators (KPI) * Continuously review processes and suggest process improvements to reduce cost and increase performance through eliminating non-value added work * Provide constant feedback to leadership about concerns, resource needs and positive trends to ensure effective communication * Collaborate with on-site team members at CEA’s customer sites to ensure expedited claims resolution * Resolve any patient and/or customer escalations as needed **KEY RESPONSIBILITIES** * Employee Coaching, Development and Training 35% * Quality Assurance / Work Review25% * Workload Management20% * Initiating Process Improvements10% * Escalated / High Priority Claims Resolution10%
Ideal Candidate
* Bachelors degree or 2+ years healthcare leadership experience * High School Diploma or equivalent required **Business Experience:** * 2-4 years experience in healthcare revenue cycle or similar area * 1+ years experience supervisory/management of 10+ team members * Property and Casualty (Auto Insurance, Workers’ Compensation) experience preferred * Health Insurance Appeals experience preferred * Subrogation and Coordination of Benefits experience preferred * Change Healthcare is an Equal Opportunity Employer. Employment at Change Healthcare is based upon your individual merit and qualifications. We don’t discriminate on the basis of race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, marital status, protected veteran status or disability, genetic characteristic, or any other characteristic protected by applicable federal, state or local law. We will also make all reasonable accommodations to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability.

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